Individual provider Active NPI

Cari Surace, LCSW

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1720286263
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006243 Issued in CT
Practice address
35 Cold Spring Rd Ste 514
Rocky Hill, CT 06067-3165
Phone
(860) 249-9861
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006243 CT Primary

Addresses

Primary practice location

35 Cold Spring Rd Ste 514
Rocky Hill, CT 06067-3165

Mailing address

35 Cold Spring Rd Ste 514
Rocky Hill, CT 06067-3165
Phone (860) 249-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000570 CT Practitioner - Clinical Social Worker 7315048337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Cold Spring Rd
Suite 514
Rocky Hill, CT 06067-3165
Phone (860) 249-9861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006243CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Holistic Psychotherapy, LLC Clinical CurrentSince Dec 14, 2016 Accepting new patients

Locations

35 Cold Spring Rd
Bldg 500
Rocky Hill, CT 06067
Phone (860) 249-9861

35 Cold Spring Rd
Ste 514
Rocky Hill, CT 06067
Phone (860) 249-9861

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1720286263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD STE 514",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673165",
            "telephone_number": "860-249-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD STE 514",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673165",
            "telephone_number": "860-249-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACE",
        "first_name": "CARI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.